About you. Our form

$250.00

Young people intake form

Topic                        Intake form

Easy English title    About you. Our form

Audience                 Young People

Type                          Form

Length                    17 pages of Easy English. (401 words)

(Plus 2 pages of copyright and acknowledgement)

Note there is 1 blank page early in the form. It needs to be retained to ensure each topic that requires 2 pages always starts on the left page

Includes name, age, contact details, gender identity, Aboriginal & Torres Strait Islander identity, cultural identity & interpreter need, other communication help and support need, work/study/something else, any court orders & next of kin,

Purpose                  To gather basic information about person, including next of kin.

Suitable for             Any service or professional.

How to use              Print in colour.

Bind together, or put 3 staples down the left side of your form. It will now open like a book.

Released                   updated 2 June 2025.

Includes GST